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COVID-19

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Event

Registration

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Request

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Reservation

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Survey

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Waiver

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  • Waiver Dance - Studio Waiver
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  • Waivers- Driving School
COVID 19 Medical Consent Form
Created by WaiverForever
Use Template
Please fill in your name Please fill in your age Health Insurance Name Health Insurance ID By signing this agreement, I acknowledge the contagious nature of COVID-19 and voluntarily assume the risk that my child(ren) and I may be exposed to or infected by COVID-19 by attending the Business and that such exposure or infection may result in personal injury, illness, permanent disability, and death. I understand that the risk of becoming exposed to or infected by COVID-19 at the Business may result from the actions, omissions, or negligence of myself and others, including, but not limited to, Business employees, volunteers, and program participants and their families. Patient/Parent/Guardian Signature